DEREK MILES SMITH (NPI# 1083703490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083703490 |
| Entity Type | Individual |
| Full Name | DEREK MILES SMITH |
| Credential | P.T. |
| Practice Address |
4780 N Josey Ln Carrollton TX 75010-4615 |
| Practice Telephone | 9724921334 |
| Practice Fax Number | 9724925174 |
| Mailing Telephone | 9724921334 |
| Mailing Fax Number | 9724925174 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1140028 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1140028 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PART B - PRIOR TO 2/1/11 | 8D5829 | 01 |
| TX | BCBS | 8T3800 | 01 |
| TX | RAILROAD MEDICARE | P00954365 | 01 |
| TX | BC/BS TX - EFFECT 02/01/2011 | 854T69 | 01 |
| TX | MEDICARE PART B - EFFECT 3/3/11 | TXB121221 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496110 | Derek Jenkins Smith | Home Health Aide | 2514 24th St Ne, Washington, DC 20018-2126 | 2020-01-10 |
| 1922511765 | Derek Smith | Counselor | 1317 Wilmer Ave Ste 102, Anniston, AL 36201-4600 | 2017-11-15 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1518375682 | Derek Smith | Chiropractor | 809 Iroquois Cir, Baraboo, WI 53913-1248 | 2014-08-01 |
| 1386066082 | Derek Smith | Pharmacist | 727 E Main St, Havana, IL 62644-1530 | 2014-01-15 |
| 1730522863 | Derek K Smith | Student in an Organized Health Care Education/Training Program | 2025 Morse Avenue 1east Rm#6, Sacramento, CA 95825 | 2013-04-08 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| 1780937961 | Derek Smith | Physical Therapist | 7405 W Arizona Pl, Lakewood, CO 80232-5416 | 2012-10-24 |
| 1407869019 | Derek R Smith | Psychiatry & Neurology | One Towne Park Plaza, Norwich, CT 06360 | 2006-08-14 |
| 1689298861 | Derek Nathaniel Smith | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-06-03 |
| Street Address |
4780 N JOSEY LN |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683490 | Metrocrest Surgery Center Lp | Clinic/Center | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2005-07-15 |
| 1265998728 | Carrollton Or Surgical Affiliates Pllc | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2019-02-20 |
| 1952874257 | West Plano Surgery Specialist Pllc | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2019-01-09 |
| 1861969511 | Megan Elizabeth Carter | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2018-10-31 |
| 1760965842 | Holly Valle | Specialist/Technologist, Other | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2018-09-13 |
| 1366961104 | Julianne Joy Kucera | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2017-09-13 |
| 1013305945 | North Star Cn, Lp | Clinic/Center | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2014-12-30 |
| 1598106775 | Orthopedic Partners for Surgical Advancement | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2013-07-16 |
| 1013354307 | John Arvesen | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2013-05-28 |
| 1538409248 | Chelsea Michelle Bardwell | Physical Therapist | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2013-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526969 | Green Oaks Physical Therapy Limited Partnership | Physical Therapist | 2710 N Josey Ln Ste 301, Carrollton, TX 75007-5400 | 2020-10-22 |
| 1790343317 | David Marchuk | Physical Therapist | 1933 E Frankford Rd Ste 110, Carrollton, TX 75007-5371 | 2019-05-29 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1689120800 | Maerel Paloma Perez | Physical Therapist | 4636 N Josey Ln, Apt 2516, Carrollton, TX 75010-4646 | 2016-08-28 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1003293143 | Jennifer Theis | Physical Therapist | 1507 Brisbane Dr, Carrollton, TX 75007-4311 | 2015-04-28 |
| 1336557453 | Lauren Elizabeth Mcdowell | Physical Therapist | 909 S Park St, Ste B, Carrollton, GA 30117-4456 | 2014-08-01 |
| 1326281684 | Herbert D Schlichting | Physical Therapist | 1705 Bel Air Dr, Carrollton, TX 75007-3736 | 2009-04-15 |
| 1174785729 | Stephen C Laclede | Physical Therapist | 2811 Carriage Ct, Carrollton, TX 75006-4803 | 2008-06-25 |
| 1689840035 | Mari Lynne Walson | Physical Therapist | 318 Columbia Dr, Unit 1508, Carrollton, GA 30117-2050 | 2008-05-06 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.